Active NPI
William F Lange, MD
- Family Medicine Physician
- Manistee, MI
National Provider Identifier
1841410941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5412
- Practice address
- 1465 E Parkdale Ave
Manistee, MI 49660-9709 - Phone
- (231) 398-1000
- Fax
- (989) 340-1214
- NPI assigned
- Apr 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5412 | AK | Primary |
Addresses
Primary practice location
1465 E Parkdale Ave
Manistee, MI 49660-9709
Mailing address
10850 E Traverse Hwy
Suite 4400
Traverse City, MI 49684-1364
Phone (231) 346-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD48101 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1131
Hospital & facility affiliations
- Alaska Regional Hospital
- Providence Alaska Medical Center
- Fairbanks Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5412 | AK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Medicine of Ak, LLC | Current | Accepting new patients | |
| Galen Hospital Alaska, Inc. | Past | Accepting new patients | |
| Northern Hospital Associates LLC | Past | Accepting new patients | |
| Tanana Chiefs Conference | Past | Accepting new patients |
Locations
2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Anchorage, AK
- NPI 1346947470
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
- Hospitalist Physician
- Fairbanks, AK
- NPI 1538204474
-
- Ambulatory Surgical Clinic/Center
- Fairbanks, AK
- NPI 1871332387
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairbanks, AK
- NPI 1720537178
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1841410941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10850 E TRAVERSE HWY",
"address_2": "SUITE 4400",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496841364",
"telephone_number": "231-346-6800",
"fax_number": "989-340-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 E PARKDALE AVE",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496609709",
"telephone_number": "231-398-1000",
"fax_number": "989-340-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGE",
"first_name": "WILLIAM",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-30",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "5412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD48101",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.